Ontario Health Care Funding

(1)

r

Ontario Health Care Funding

Final Report of Quantitative Research

August25,2000

SubmiUed to:

Billie-Jo Bogden

Communications Planning and Research Division Communications and Consultation Directorate

Health Canada

12

^th

Floor, Brooke Claxton Building Tunney's Pasture

Ottawa, ON K1A OK9

Submitted by:

EKOS Research Associates Inc.

1

112-035-0078 -

p'sG- -\ ^C~ b \ \~

300020\

(2)

Outline

3

(3)

-

ie:!lssùê;ôf'fWùilth;êàre::;:;P:·.··:\;:;F· .. ···?··~:: ^.i ^.•. ^,~ ^{.... ; ..} ri •. , ··.>::\;hTt; .... ····:/·~·ot.': ••

^!

.+\::';:1·:'

.. .".... ..c> •.••..• " .: ••.. "y .. : :\ .. ::.;.~::..;.~. >..; _...•.•. /:< _, ••. '. • •. : ...••..• <:.. _....:.'.~.:.,:: .. :, ...•....••. : ..

>.:.> : .. ::.: ..

;~·~:·:{··:::~~:·::·::f~:/~~.~~./~)?~( ·:.-~s;·:::~:·:':'~; :::.: ... : .. :;:: '; : -, ;.~: -,-: .. - .-. ,',' ... _.- .... : .. ;.::::.~~;..::.-.- ~

"'" ';c.' ...• ·} •. :i\:.:; .• " '. .' '. . ~.; >:;. :~ ,.: .. /:

·F';i~~:~·.':;·:·'·;:.\ ~

·.i.·.~.:.~;·.·~ ':

)~.::::~.\:::~m!~:l~.·!~~~i}jn1~f~?~~~)H~1

," _',-' -' .. '_ :.:.'-,._ _ _ ,._ ' ~:~::::~.::;/>.: :--.:.~ .. _ .. : .. ~.~.- .. ;.. . .. _ .. , ., / - ~. _, _ .

•..•. : ..•. : .. ~

_~~.

•...•... : ....• · .. :· .•. ;·.!s.·.:.~.·.~.·.oc s.: ;.~:·.a.·.·· .. ~.èse.·.es~ .•. ··.:.·.·· .•.• ·· .. al .. ·.rtC.·r·.· •.• Cti •...•... · .. ·.·: .. ·.· .. ·.:.··.·.;.:

_{- '.~'}

.• ·.: .•.• ·~.·.r; .. ,.~.·; .. ·5 ..•.. ·.· •. • •...

_", r· .•. ·· ..•• · :.· · •.·.•. ::~L ~~(::~:::::,', .. . •.••. ;>

^{i: :}^::'^:_:<:.

;'itt';ni;:

=:«: ,",', :::":'::'./:~:

.:: {::.

::;.:?r~·:<:·:.~i···

. :;:.:' \;: '_" ~ ,:

::-~".:. :.:_':.:.:.:::::.:.::~

,'.

. .'.).:.%::

;;. ",,' :)\.:: . ,:?~:~.:(~_ .... ^;;C

,;>:.:. ^i~::;: .. :.

6

(4)

· ..

, . .,,:. :";" ~:.: .. ; .. " ;;;: ... ; "':-::~'; . .,',:. :'.:":'::"',,::._';~':.:. ~':~"~"-.~' .;:.

··.·;·T.. _{• .}•... :.::.·· -, ·.:.:~.~~:.:~.::~·:::· _{. ' .}.>:~ .. :~.:.:;.~:::~;.: .. ', ; . .- .':;;. 's; .: '; ; .- .: :::; :-;:: -::; r: ::':.~ ~'.:. ::,. ~ . ;(:

~·~fr<.f~:~~rd~\.:-~1 :::':.: .. _ ..

':", ... '_,' '. ~.':: :

:

'-~~ :-. '_" .-' ....

5

(5)

7

(6)

9

(7)

Perceptions. of Health care ^System ^(a)

Çl ln the latest wave of the survey, one in two respondents indicate that the health care system has deteriorated over the past two years Over a third (35 per cent) say that the quality of health care has

" stayed the same, while approximately one in 10 believe it has improved. The level of indecision is relatively low, with only six per cent of respondents unable to offer a response to this question.

o

Among the most likely to say that the health care system has deteriorated, we find respondents between

\

the ages of 45 and 64, as weil as respondents with an annual household in come above $60,000.

Respondents under the age of 25, as weil as those over the age of 65, have a greater likelihood of saying that the quality of the health care system has stayed the same over the past two years.

o

Immediate recall of health care issues seems to have little or no effect on the propensity to say that the quality of health care has improved or deteriorated. On the other hand, views on the ove rail state of health care appear to be closely linked to the perceptions about the provincial government's share of health care costs. Respondents who believe that the provincial government's share of health care costs has decreased are more likely to say that the overall quality of the system has deteriorated. The same strong link cannot be made with regards to the federal government's share of health care spending.

Respondents who have been exposed to both the Ontario government and the federal government's ads are more likely to say that the quality of health care in Canada has deteriorated over the past few years.

o

Over the course of the last few months, there has been a modest shift away from the idea that the quality of the health care system has deteriorated (down from 58 per cent in March) towards the opinion that it has stayed the same (increase of five percentage points). The proportion of respondents who indicate that there has been an improvement in the quality of the health care system over the past two years remains fiat, hovering around one in 10 respondents The level of non-response or indecision has ~ increased slightly yet consistently with each successive wave of the survey. ,

10

(8)

Perceptions of Health Care System (b)

o

To follow up with the respondents who believe they have witnessed a deterioration in the quality of health care in Canada, we asked them to determine who is most responsible for this decline. 8 RIU[alit~

of respondents point to the provincial government. with slightly more than one in three ~igning blame to

me

fecle-ml §0vemment and· neàrly='"One iR five unable to determine otdecide. wnicn1êvel of

governm~onsible for the deterioration. ..--_. __

o

Over the course of these three soundings of Ontarians, from an even split between the federal and provinciallevels of government in March 2000 (42 per cent each), there has been a significant decline in

1

the proportion of respondents who ho Id the federal government responsible and a corresponding , increase in the level of reproach for the provincial government. Respondents who had seen ads from both campaigns had similar response pattems to this question as those who reported having seen only the Ontario ads. Respondents who have seen neither ad campaign have a much stronger proportion of non-response and indecision when determining whom to hold responsible for the deterioration of the quality of health care.

Il

(9)

Tracking Perceptions of Health Care System

' .. l'~~tli::~rè.e;~t~t~~i ~;:

'. '. dêferiprnti(jtt?~! <cc .•..•...

>

,'. ," ;Wav~jn:M(~7)" ;'::,

_c:=:C:=-~~' ^>';

.;. ,

::·i~:·:::·::

o

Tracking responses to this question for the past two and a half years, there is a fairly stable pattern, with an overall decline in the number who say that the quality of health care has deteriorated. The share of federal responsibility peaked in March 2000, corresponding with the star! of the Ontario ad carnpaiqn.

12

(10)

Recall of Issues

o

Recall of the health care funding issue is remarkably high, with six in 10 respondents indicating they have vague (26 per cent) or clear (34 per cent) recall of having heard or seen anything about il.

OThe level of recall is highest among men, the 45 to 64 year old age cohort. higher in come eamers and the university-educated.

o

There has been a slight erosion in the overaillevei of recall in the past few months, from close to seven in 10 expressing clear or vague recall in March to six in 10 respondents at the end of May.

13

(11)

Recall of Television Ads

o

Nearly three out of four respondents indicate that they have seen or heard the Government of Ontario television ads, and a further 38 per cent indicate having seen the ad produced by the Government of Canada. Nearly ail respondents who have seen the federal govemment's ad have also seen the Ontario government's ads.

o

Exposure to the ads is slightly higher among men than among women.

14

(12)

Effectiveness of Televlslon Ads (a)

o

Results are polarized on the effectiveness of the ad campaign from the Govemment of Ontario. A slight plurality (36 per cent) give the ads a low effectiveness rating. Respondents with higher levels of education are more likely to rate the ads as highly effective (41 per cent among university-educated).

o

Respondents who have seen both the Ontario ads and the federal ads give a less enthusiastic rating to the effectiveness of the Ontario government's ads. The perceived effectiveness of the ads is also linked to the overall attitudes that respondents have about the quality of health care. Respondents who believe that the quality of care has decreased in the past Iwo years are also more likely to say that the effectiveness of the Ontario ads was low.

OThe overall effectiveness of the Government of Canada's ad campaign on this measure was not rated as highly as the ads from the Government of Ontario. Over the course of the campaign (Wave Il to Wave III data), there has even been a slight shift towards a more moderate, rather than a high effectiveness rating. Men are more likely than women to give the federal government's ad campaign a low effectiveness rating.

15

(13)

Effectiveness of Television Ads (b)

o

As for the impact of the ad campaign from the Government of Ontario, again results are polarized, with a very slim plurality (36 per cent) indicating that the message had an overall negative impact on their view of the Govemment of Ontario. Compared to the results from Wave Il, Ontario residents were slightly less inclined to say that the ad campaign had a positive impact.

o

The ad campaign from the Government of Canada registers a more neutral or unaffected impression, with a strang plurality (45 per cent) indicating the ad campaign had no impact on the overall view of the Government of Canada. In a very similar proportion to the reaction to the Ontario government's ad campaign, 37 per cent indicate that the Government of Canada ad campaign has had a negative impact on their view of the federal govemment. Very few, less than one in five, find the federal ad campaign had a positive impact on their overall view of the Government of Canada.

16

(14)

Requests for More Information

'fHâve~Y6(J;,#fdOyoù!:iritend;.to:reqüé$f:m(#~;iMonnaii()n;from .•..•...• : .

.... t( ~ ;;);otl'h~ .,i.s? u es~presente~ .t~i~$:*~I~vis. j(~rt;Cldy.~rtis~ments?" ...••... ', :

:.. . -. ,.:.:::~ .. ,:. ,- -,' ":',: \~.: ..

~.~:.:

. .':~.:;.: : :

'c'

<i ,'..",,' , ,)/

. ',-" :.,,"

.:::.:-'< .

... , .

:. ,.' ./Wav.e

JI

. , , ". ': i<>ji~24~ .

. : -: ';~,:"::'.~-:'" ; .. ,

OThe greater part of those surveyed indicate that they have no intention of requesting more information from either the Govemment of Ontario or the Govemment of Canada on the issues presented in its television advertisements. As exposure to the ads increases over time, respondents indicate that they are slightly more inclined to request information, however that proportion never surpasses one in five respondents.

o

^Womenare more likely than men to indicate that they would request further information from the Government of Ontario, as are respondents with annual household incomes between $20,000 and

$39,000. Respondents with a university-Ievel education are among the least likely to request further information from the Government of Canada,

17

(15)

Changes in Share of Spending

A piura lit y of respondents are inclined to say that the share of Ontario's health care contributions paid by either the federal and the provincial government has decreased in the past three years.

Approximately one in four believe the contribution levels from the federal and provincial governments have stayed about the same. Respondents are more likely to say that health care contributions have increased at the provincial level (26 per cent) rather than at the federal level (six per cent). A fairly sizeable proportion are unable to say whether the provincial share (22 per cent) or the federal share (28 per cent) has increased or decreased over the past three years.

o

What is interesting to note over the successive waves of th;Jurvey. isjhe-pF0gressivejncJ~n the pr0P..2f1L0Qof respondents whow_ere_unahl~.to_offer_aD~hese questions. At the federallevel, the shift is mostly away from those who believe the share of spenctiilg"has decreased. At the provincial

I

^level, the increase in the proportion of non-response occurs at the expense of the proportion who .indicate decrease, increase and stayed the same. The graduai increase in the proportion of non- response and uncertainty is quite telling, in light of the diverging messages that are being delivered in the respective campaigns.

o

Respondents with a university-Ievel education are among the most likely to indicate that the provincial share of health care spending has increased in the past three years. At the federal level, respondents over the age of 65 are the most likely to believe that the share of spending has increased, while respondents with higher hausehald incames are more likely ta believe that the federal share has decreased.

18

(16)

Perceived Changes in Spending by Exposure toAds _

o

Th,e..response [.:latteQlS to these_questions serve to illustrate some of the eff!l"cts_of the adzerlisement

~espondents who only saw the Ontario govemment's ad campaign are far more likely to say that the federal share of contributions has decreased. Conversely, the y are also more likely

to#)

indicate that the provincial share has increased in the past three years. The strong effect of the Ontario ad campaign persists on those who also saw the federal ad. Because the sam pie of respondents who only saw the federal ad is very small, we are un able to measure the independent effect of the federal ad, isolated from the impact of the provincial ads. Respondents with no exposure to either ad campaign are more likely to indicate that federal and provincial spending levels have stayed the same.

19

(17)

Long-Term Solutions

o

Respondents are split on the best long-term solutions to fixing the health care system. A plurality (37 per cent) believe the federal and provincial governments should agree upon a clear plan with clear reporting of results. The level of support for that course of action has remained stable over the three waves of the survey.

o

ln the latest wave of the survey, there is increased support for investment and innovations into the health care system, replacing increased funding to the existing health care system as the second most popular option. Non-response and uncertainty is relatively low at approximately five per cent.

o

Men and respondents with higher household incomes are more likely to endorse the ciear plan and reporting strategy. Women lean more towards increasing funding to the existing health care system.

20

(18)

Long-Term Solutions by Exposure to Ads_

• o

Respondents who have been exposed to either ad campaign are more Iikely to endorse the clear plan and reporting strategy. Nearly one in two select that option as the best long-term solution for fixing the health care system. Those who have seen both the Ontario Government and the Govemment of Canada ads select increased investment and innovation as the second most popular option, over increased funding to the existing health care system.

o

Respondents who have seen neither ad campaign are polarized in their opinion as to the best long-term solution for the health care system. Compared to the respondents with some exposure to the ad campaigns, they lean more towards increasing funding to the existing health care system. The idea of a clear plan with clear reporting does not resonate with the same salience as it does with respondents who have been exposed to the ad campaigns.

21

(19)

Health Care Funding in Ontario

.... :::.::> '. -:'.;._;_-,:: :~.:.:' .. '/ ','~:: :.~.; :. :. :.~.:::.~'<.: .' "- . '":"" .:.:.::.~ .. ,,::::: ., ~.; .. ,. ,"

..,~neY ~'on~'i~ ~ot

the solution to securing

he~lth ~a;~ ^f~~the ^{: ...}

. '. ". . future ".,'

17

_ 69

^'~'.^.,^..^',."^':^....^,'.

. -.' .. ','-

.. Niavèll.n=S01:'.J·- .. --1-9-·-··· :.:,:." .. , ... ,., ^r^{'. :} ,.c .. ,··

:.:'.:' .":::' '. :,~:-:' ~~.- . . ',:'_ ,.:':~' ',_.: .. :~~::: .. ,-:: .. :,',;'> "-":;:';:::':::.: :./.::~: .. :~' -. "

,Wave '11~~o6 .. '

¹⁷

^Ti'

.. ', )i:',:-_: '/ '_.:: ~ .X _: '.: ': :::'z":':::::\·:, /":-':- '; .. :;" s.. .:: .• ~".:.~.::-\:~:).:: -. ~._ '. :-:. ::~~ :::~\.~.:.:.:':.;. .r, ':>".:::-: ':' : .. ~:.:::.:'::\:_: .~:: .·:.:··~:~i/.:: '; , -, ~.·,: .. :.:~::·:::~; ', .. : .... '.;::.;: t{::·:::.::",

... ' •. , .••...•..•.•. · •. · .•. i .• ·; .. ~·.;· .. ·: . • ~ •• :; • . ; •• "~r~;G~~m;~T~n't,~i~~~~~~,;~!~{::,?};~i·f~~1~?i~NW·1Jg: ••• N.·· .••..

···<;wa~~11Iri~56({

23 .

ni;

, ... , -: : •. ."~.:;::.~. :.':.. .... ::-: :.;: ' ~).':)~;: '; ~ .• ::., r: ,!-,._-~~~ , .. :~ .. :.:~~:.:.::: :.:.-:.;:: . .- .. ~': -, .':~ ... ~... .;.,.:-:.--.~.~.-.- :;:.:~.:.:::/.~: .. ::~.~ . ... ' .. '. .. ~:.~::~ .. : .~"':'::'.":: . .~<~ '; ::.~~.~.~ /~~~:;';::~'.:' ::~~::: .. ' ;~<~ .. ..' ;~':'.:: :~~,~~.~;.~:.:~.; :.-:. ... '.

.T/

':', ·:~~Wav·~jl:n~5bl··:

... , , : -:',.':' .. j,-

~~~~=

.: .:.:.:~~::::.: .::::. :":';:>:.:.<~j ' .. ,~., "'.

A'! ⁶⁹

26 1..\'1 ⁶⁰

... '::.:::,.,:., ...

,';:: ...

,-',

B.·· ..

··'63"

o

A strong majority of respondents, nearly seven in ten, support the idea that money al one is not the solution to securing health care for the future. Nearly six in 10 say it doesn't matter which level of government pays for the public health care system. While we see that the response patterns have been fairly stable over the course of the advertisement campaigns, there is also evidence to show that respondents who had seen the ads are more likely to agree that money is not the lone solution.

o

Respondents with a university-Ievel education are least likely to be indifferent to which level of government that pays for the public health care system.

o

Respondents with lower annual household incornes are less likely to agree that money alone is not the solution to securing the health care system for the future. As weil, respondents with no exposure to either ad campaign are also less likely to agree that rnoney alone is not the key to resolving the difficulties in the health care system.

22

(20)

23

(21)

... ./ Initial

Méêtbfbrit~ri6.~d:;ri?rTlP()igrM<5 sqüâi~bràil1e:ônf~eral gO\femnient ... : ~,...

hasattenUâtetl ~ </ :

^é:/'" ^. ^..:: ^....^:... ^:/. ^;, ^....

. -':">;,.:::«::::'.:\:.::>:~'- :',:" _', .-.: '.

>

···Recallbf~éalthçai'efu~dil1g is~u.eScyeCY;liigh·: :' :' .. " ..•... ",'" .•.. .: .• .•... , : . ...•.• " .

~./ .. Mosf6a\lg$~n·~Xpq~.~dtcf&gpdtârid:G9verhil1eht's adsrâbOut h#lfasmaùy

. t91l)e§()Ii~mm~tWgf.9~uê9:9'~~~p) :)<) . .: .•.... , .. , .• ;.:.', ..•... \ .. < :;:':.: .•...•.. '

Rv~_i.ilifBai~itl'Jl,.li~il!ti~f~~~: )

...•... ··.· .. ~··· •.• ~tîl!{~;ï~~·~.(hèn:;dJtèfi8âct$:.:: •.•.•..•• :.' ·•·•··•· .• ^·ii;·· ^•.• ^jl ^; ^•• ^;... ^; ^,.:. '.~ ••.••. ~.:;;; .•..••.••...•...

-. i

v Rè§'ê:ti6Ritd.féd'èt~ü~dfu6furhtilèd~ ;.Cc. <{.nt '. /}/ : '. .: ~::?/:: .. ^i.

/. .... ..' .... ;. :.. :<; .: >.::" . '. ". :':

24

(22)

25

(23)

-

27

(24)

, Explanatory N~te _ ",' "

<~'~:;[~:~I[::~~~:~\f~d,lt;rJ~:j.~ti~~te;:~;ijre~ort

... , .... ::?:-":~OOjnterVieW~h(ragd9mly:sèJe'èted\G>.nt~rjQ,:h()l:JsehoIdS):·

;,.':~.:~ .,' ,', >, ".'-'--', --;,":-' .:.- , .. :.;_,_.,.: :,.-:.;.';-,,:'~._.,,:,""-."':::"'~-:---'--"" ',';-',' :.-.~Y'.~.'.·"-'-,-._,:, -,,' .:.- .

"~:;;.' •.. :i,:~

'~Fièldw()rk,êcintiu6t~d'~~.' •.. tqh,·3{)~}~~fir2,,:20QQ. .." '.

^{>. .}

," -: "". . ',- ,'..:' '~"', ~- . . ,-" .. - - ,

./ir~J~t:~~i~Rl~t~f~~J~g;; L". '. . "L;:

,,: , '. ,~,:,~Oo,ipte.rv,ie,{~J.~~~~iY"s~.Îect~â,{)ntari~;'~Q~$eh9Id,~r :,"

(25)

".,:::',:,\:,::::,<,:,'':':,',: '.:",

" " ",' ::--:',:.::.:,:

~<,.~::: ..

(26)

Ontario Health Care Funding Survey 1

Hello, my name is ... and 1 work for Ekos Research Associates. We are conducting a survey on behaIf of the Govemment of Canada conceming the views of Ontario residents 18 years of age and older, on several important issues in the news today. The interview will take approximately 8 minutes and 1 think that you will find it interesting. All of your responses will be kept completely

confiâential. May 1 begin? .

@intro

1- Continue, SHIFr + ? to terminate

*** DO NOT MENTION THAT IT IS A SURVEY ON HEALTH CARE FUN DING ***

INTRO see screen

Continue 1

ROTl

=> * if IF((ROT1 ==O),TRC(RAN(1,2.99999999)),ROT1) rot for Qll

federal 1

provincial 2

SEX

DO NOTASK

Record gender of respondent

Male 1

Female 2

QlA

In your opinion, has the quality of health care in Canada over the past two years deteriorated, improved, or stayed the same? Please respond using a 7-point scale where ¹ means greatly deteriorated, 7 me ans greatly improved, and the mid-point 4 me ans stayed the same.

1 Greatly deteriorated 1

2 2

3 3

4 Stayed the same .4

5 5

6 6

7 Greatly improved 7

DKjNR 9

(27)

QIB

=> +1 if NOT 01A=#1-#3

Which level of government, federal or provincial, would you say is most responsible for the deterioration?

Federal : 1

Provincial 2

DK/NR : 9

Q2

IF YES, PROMPT FOR CLEAR OR VAGUE RECALL

Recently, the Government of Ontario and the Government of Canada have been talking about federal and provincial contributions to health care funding. Have you heard or seen anything about this?

Yes, clearly 1

Yes, vaguely 2

No 3

DK/NR 9

Q3

=> 06A if NOT 02=#1-#2

READ LIST, SELECT ALL THAT APPLY

Have you heard or seen ...

Rotation => 4

Govemment of Ontario television ads 1

Govemment of Ontario insert delivered to your home 2

Govemment of Canada newspaper ad 3

News coverage (radio, television, newspaper) .4

(DO NOT READ) None of the above ·5 X

(DO NOT READ) DK/NR 9 X

Q4A

=> +2 if NOT 03=#1

Thinking about the message from the Government of Ontario, how useful would you say this information was? Please respond using a 7-point scale where 1 is not at aU useful, 7 is extremely useful, and the mid-point 4 is moderately useful.

1 Not at aIl useful 1

2 2

3 3

4 Somewhat useful 4

5 5

6 6

7 Extremely useful. 7

DK/NR 9

(28)

Q4B

What impact would you say this message had on yom overall view of the Governrnent of Ontario? Please respond using a 7-point scale where 1 is extremely negative, 7 is extremely positive, and the mid-point 4 is neither negative or positive.

1 Extremely negative . 1

2 2

3 3

4 Neither 4

5 5

6 : 6

7 Extremely positive 7

DKjNR 9

QSA

=> +2 if NOT Q3=#3

Thinking about the message from the Governrnent of Canada, how useful would you say this information was? Please respond using a 7-point scale where 1 is not at all useful, 7 is extremely useful, and the mid-point 4 is moderately useful.

1 Not at aIl useful 1

2 2

3 3

4 Somewhat useful 4

5 5

6 6

7 Extremely useful. 7

DKjNR 9

QSB

What impact would you say this message had on yom overall view of the Governrnent of Canada? Please respond using a 7-point scale where 1 is extremely negative, 7 is extremely positive, and the mid-point 4 is neither negative or positive.

1 Extremely negative 1

2 2

3 3

4 Neither 4

5 5

6 6

7 Extremely positive 7

DKjNR 9

(29)

Broadly speaking, out of every health care dollar spent in Ontario, how many cents do you think are paid by:

The federal government: @q6a The provincial governnlent: @q6b Other sources (e.g., private @q6c insurance plans, average citizens)

*** FOR EACH QUESTION, ENTER A NUMBER BETWEEN. 0 AND 100, OR 999 FOR DK/NR***

*** NOTE: IN ORDER TO CONTINUE THE SURVEY, THE THREE RESPONSES MUST ADD UP TO 100, UNLESS AT LEAST ONE RESPONSE IS A DK/NR

Q6A

Federal government

DKjNR 999

Q6B

Provincial government

DKjNR 999

Q6C

Other sources (e.g., private insurance plans, average citizens)

DKjNR 999

Q7A

Rotation => Q7B

Over the past three years, would you say that the share of Ontario's health care contributions paid by the FEDERAL government has increased, decreased, or stayed the same?

Increased 1

Decreased 2

Stayed the same 3

DKjNR 9

Q7B

Over the past three years, would you say that the share of Ontario's health care contributions paid by the PROVINCIAL government has increased, decreased, or stayed the same?

Increased 1

Decreased 2

Stayed the same 3

DKjNR 9

(30)

Q8 ..

READ LIST

The Government of Ontario daims that the Government of Canada is only paying roughlyTl cents out of every dollar of annual health care costs in Ontario. The Government of Canada daims that it pays roughly 34 cents out of every dollar of annual health care costs in Ontario. Who do you mostly tend to believe?

Rotation => 2

Mostly the Govemment of Ontario 1

Mostly the Govemment of Canada 2

(DO NOT READ) Neither 3

(DO NOT RE AD) DKjNR 9

Q9

READ LIST

Thinking about long-term solutions for fixing the health care system, which of the following three would be the best solution for fixing the health care system?

Rotation => 3

Increased funding to the existing health care system 1 lncreased investment and innovation like homecare and community-based care 2 A c1ear plan with c1ear results reporting agreed upon by the federal and

provincial govemments 3

PRQI0

For each of the following questions, please indicate yOuf level of agreement by using a 7-point sc ale where 1 is totally disagree, 7 is totally agree, and the mid-point 4 is neither agree nor disagree.

QI0A

Rotation => Q10E

1 don't really think it matters which level of government pays for the public health care system because it is all our tax dollars

1 Totally disagree 1

2 2

3 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR 9

(31)

QI0B

1 think that it is important for governrnents ta make clear information available about health care, even if that means using tax dollars to buy advertisements

1 T otally disagree : 1

2 : .. : 2

3 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR : 9

QI0C

The health care system is in crisis

2 2

3 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR 9

QI0D

The federal governrnent's contribution ta Ontario's health care funding has decreased substantially

1 T otally disagree 1

2 2

3 3

4 Neither 4

5 5

6 ·· .. ··· .. ·· ·· .. ··· .. ·· .. · 6

7 Totally agree 7

DKjNR 9

QI0E

Money alone is not the solution to securing the health care system for the future

2 2

3 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR 9

(32)

Qll

Thinking about the <rot'l > government, would you strongly oppose, oppose,) support, or strongly support continued paid advertisements on health care funding?

Strongly oppose : 1

Oppose : : 2

Support 3

Strongly support. 4

DK/NR 9

STATS

Now 1 have a few more questions to be used for statistical purposes onIy.

HOUSE

Which of the following types best describes your current household? ** IF THEY SA Y THEY ARE LIVING WITH THEIR P ARENT(S) THEN THE HOUSEHOLD IS EITHER 02 (ONE ADULT WITH CHILDjCHILDREN) OR 04 (MARRIED OR COMMON-LA W COUPLE, WITH CHILDREN)

One person, living alone 01

One adult with child/children 02

A married or common-law couple, without children 03

A married or cornmon-law couple, with children 04

Two or more unrelated persons 05

Living with relatives other than parents 06

More than one adult with childl children 07

Other (please specify) 98 0

DK/NR 99

EDUC

What is the highest level of schooling that you have completed?

Public/Elernentary school or less (grade 1-8) 01

Sorne high school. 02

Graduated from high school (grade 12-13) 03

VocationaljTechnical college or CEGEP 04

Trade certification 05

Sorne university 06

Bachelor's degree 07

Professional certification 08

Graduate degree 09

DK/NA 99

,© Ekos Research Associates Ine. / Les Associés de recherche Ekos

(33)

EMPLO

Which of the foIlowing categories best describes your CURRENT employment status?

5elf-employed : 01

Employed full-time 02

Employed part-time : : : 03

5easonal employment 04

Term/ casuai employment 05

UnempIoyed 06

Student. 07

Retired 08

Homemaker : 09

Disability j sick leave 10

Matemity j patemalleave 11

DKjNR 99

l5

HLTH

Are you or anyone in your household employed in the health care field, either directly or .indirectly?

Yes 1

No 2

DKjNR 9

)~

AGE

READ CATEGORIES IF NECESSARY

What is your age, please?

Under 25 01

25-34 years 02

35-44 years 03

45-54 years 04

55-64 years 05

65 years or oider 06

INCOM

What is your annual HOUSEHOLD income from all sources before taxes?

<$20,000 1

$20,000-$39,999 2

$40,000-$59,999 3

$60,000-$79,999 r ••••••••••..••.••••••••••••.••...••••••...•.••••.•.•.•••....••••.•••••••••...••••••••..••••••••.•.••••••••••.• 4

$80,000 or more 5

DKjNR 9

THNK

End of Interview

Thank you for your cooperation and time'

Completion 1 D

(34)

•

(35)

Ontario Health Care Ad T esting 1

Hello, my name is ... and 1 work for Ekos Research Associates. We are conducting a survey on behalf of the Government of Canada concerning the views of Ontario residents 18 years of age and older, on several important issues in the news today. The interview will take approximately 8 minutes and 1 think that you will find it interesting. AlI of your responses will be kept completely

confidential. May 1 begin? .

@intro

1- Continue, SHIFf + ? to termina te

*** DO NOT MENTION THAT IT IS A SURVEY ON HEALTH CARE FUNDING ***

INTRO see screen

Continue 1

ROTI

=> • if IF((ROT1 ==O),TRC(RAN(1 ,2.99999999)),ROT1)

rot for Q9

federal 1

provincial 2

SEX

DO NOTASK

Record gender of respondent

Male 1

Female 2

QIA

In your opinion, has the quality of health care in Canada over the past two years deteriorated, improved, or stayed the same? Please respond using a 7-point scale where 1 me ans greatly deteriorated, 7 means greatly improved, and the mid-point 4 means stayed the same.

1 Creatly deteriorated 1

2 2

3 3

4 Stayed the same 4

5 5

6 6

7 Creatly improved 7

DK/NR 9

(36)

Ontario Health Care Ad Testing 2

Q1B

=> +1 if NOT 01A=#1-#3

Which lev el of government, federal or provincial, would you say is most responsible for the deterioration?

Federal 1

Provincial : : 2

DKjNR 9

Q2

IF YES, PROMPT FOR CLEAR OR VAGUE RECALL

Recently, the Government of Ontario and the Government of Canada have been talking about federal and provincial contributions to health care funding. Have you heard or seen anything about this?

Yes, clearly 1

Yes, vaguely 2

No 3

DKjNR 9

Q3

=> 06A if NOT 02=#1-#2 READ LIST, SELECT ALL THAT APPLY

Haveyou heard or seen ...

Rotation => 4

Govemment of Ontario television ads 1

Govemment of Ontario newspaper ads 2

Govemment of Canada television ad 3

Govemment of Canada newspaper ad .4

(DO NOT READ) None of the above 5 X

(DO NOT READ) DKjNR 9 X

Q4

=> +1 if NOT 03=#1

Thinking about the Government of Ontario's television ads, how effective would you say they are? Please respond using a 7-point scale where 1 is not at all effective, 7 is extremely effectives, and the mid-point 4 is moderatelyeffective.

1 Not at aIl effective 1

2 2

3 : 3

4 Somewhat effective 4

5 5

6 6

7 Extremely effective 7

DKjNR 9

(37)

Ontario Health Care Ad Testing

3

Q5

=> +1 if NOT Q3=#3

Thinking about the Government of Canada's television ad, how effective would you say it is? Please respond using a 7-point scale where 1 is not at aIl effective, 7 is extrernely effectives, and the mid-point 4 is moderately

effective. .

1 Not a t ail effective 1

2 2

3 3

4 Somewhat effective 4

5 : 5

6 6

7 Extremely effective 7

DKjNR 9

Q6A

Over the past three years, would you say that the share of Ontario's health care contributions paid by the FEDERAL government has increased, decreased, or stayed the same?

Increased 1

Decreased 2

Stayed the same 3

DKjNR 9

Q6B

Over the past three years, would you say that the share of Ontario's health care contributions paid by the PROVINCIAL government has increased, decreased, or stayed the same?

Increased 1

Decreased 2

Stayed the same 3

DKjNR 9

Q7

READ LIST

Thinking" about long-term solutions for fixing the health care system, which of the following three would be the best solution for fixing the health care system?

Rotation => 3

Increased funding to the existing health care system 1 Increased investrnent and innovation like homecare and community-based care 2 A clear plan with clear results reporting agreed upon by the federal and

provincial govemments 3

(DO NOT READ) DKjNR 9

PRQ8

For each of the following questions, please indicate your level of agreement by using a 7-point scale where 1 is totally disagree, 7 is totally agree, and the mid-point 4 is neither agree nor disagree.

(38)

Q8A

Rotation => Q8B

The health care system is in crisis

2 : 2

3 :: : : - 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR , 9

Q8B

Money alone is not the solution to securing the health care system for the future

2 2

3 3

4 Neither 4

5 5

6 6

7 Totally agree 7

DKjNR 9

Q9

Thinking about the <rofI > government, would you strongly oppose, oppose, support, or strongly support continued paid advertisements on health care funding?

Strongly oppose 1

Oppose 2

Support 3

Strongly support. 4

DKjNR 9

STATS

Now 1 have a few more questions to be used for statistical purposes only.

lo

HOUSE

Which of the following types best describes your current household? ** IF THEY SAY THEY ARE LIVING WITH THEIR PARENT(S) TH EN THE HOUSEHOLD IS EITHER 02 (ONE ADULT WITH CHILDjCHILDREN) OR 04 (MARRIED OR COMMON-LAW COUPLE, WITH CHILDREN)

One person, living alone : 01

One adult with childjchildren 02

A married or common-Iaw couple, without children 03

A married or cornrnon-Iaw couple, with children 04

Two or more unrelated persons 05

Living with relatives other than parents 06

More than one adult with childj children 07

DKjNR 99

(39)

EDUC

What is the highest level of schooling that you have completed?

PublicjElementary school or less (grade 1-8) 01

Sorne high school. 02

Graduated from high school (grade 12-13) ~ 03

VocationaljTechnical college br CEGEP 04

Trade certification 05

Sorne university 06

Bachelor's degree 07

Professional certification 08

Graduate degree 09

DKjNA ~ 99

EMPLO

l

^'Î ^.Which of the following categories best describes your CURRENT V employment status?

Self-employed 01

Employed full-time 02

Employed part-time 03

Seasonal emplayment 04

Termj casual emplayment 05

Unemplayed 06

Student 07

Retired 08

Hamemaker 09

Disability j sick leave 10

Maternity j patemalleave 11

Other (please specify) 98

a

DKjNR 99

HLTH

Are you or anyone in your household employed in the health care field, either directly or indirectly?

Yes 1

Na 2

DKjNR 9

AGE

READ CATEGORIES IF NECESSARY What is your age, please?

Under 25 01

25-34 years 02

35-44 years 03

45-54 years 04

55-64 years 05

65 years or aider 06

(DO NOT READ) DKjNR 99

(40)

INCOM

[) :;,~~ ~.~~.~.~.~.~~~.~.~~~.~~~~~ .. ~~~.~~ .. ~~~.~.~.~~~~.~.~.~ .. ~~~.~~~.~.~~~: .. 1

$20,000-$39,999 2

$40,000-$59,999 3

$60,000-$79,999 : , 4

$80,000 or more , 5

DKjNR 9

THNK

End of Interview

Thank you for your cooperation and time!

Completion 1 D

Ontario Health Care Funding

r